Julien Adicho, DPM | |
1608 7th St Ste B, Las Vegas, NM 87701-5177 | |
(718) 963-7332 | |
Not Available |
Full Name | Julien Adicho |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 7 Years |
Location | 1608 7th St Ste B, Las Vegas, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134612872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 0 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ryan K Anderson D P M P C | 7517999121 | 27 |
Ryan K Anderson D P M P C | 7517999121 | 27 |
Provider Name | Ryan K Anderson D P M P C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
Mailing Address | Practice Location Address |
---|---|
Julien Adicho, DPM 1608 7th St Ste B, Las Vegas, NM 87701-5177 Ph: () - | Julien Adicho, DPM 1608 7th St Ste B, Las Vegas, NM 87701-5177 Ph: (718) 963-7332 |
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